| NPI | 1629543897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: 18-66959) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-18-66959) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |